Year 2017 / Volume 109 / Number 2
Digestive Diseases Image
Gallstone ileus presenting as obstructive gangrenous appendicitis

150-151

José Cruz-Santiago, Giuseppe Briceño-Sáenz, Javier García-Álvarez, José Luis Beristain-Hernández,

Abstract
We present the very unusual case of a 38-year-old woman with acute appendicitis and intestinal obstruction. During surgery, a 2.5 cm gallstone impacted at the base of the cecal appendix was found as the cause of a gangrenous appendicitis and obstruction; a choledochal-duodenal fistula was found during the same surgery with no gallstones remaining in the gallbladder or elsewhere. The case was managed by appendectomy with retrieval of the gallstones and no other procedure was performed for the gallbladder or the fistula, since no other gallstone was found on examination. Previously, she was found to have a round, radio-opaque image on the right iliac fossa on imaging, initially identified as an appendicolith, but after pathological examination it turned out to contain cholesterol and calcium bilirubinate. Gallstone ileus as the cause of an obstructive gangrenous appendicitis is a very unusual disease presentation that should be kept in mind when finding an unusual appendicolith presentation in or out the appendix.
Share Button
New comment
Comments
No comments for this article
References
1. Muthukumarasamy G, Venkata SP, Shaikh IA, et al. Gallstone ileus: Surgical strategies and clinical outcome. Journal of Digestive Diseases 2008; 9(3):156-161.
2. Liau SS, Bamber A, MacFarlane M, et al. A case of gallstone-induced small bowel necrosis masquerading as clinical appendicitis. Clin J Gastroenterol 2009; 2(3):238-41.
3. Mon-Martín F, Morales-Hernández A, Delgado-Plasencia L, et al. Gallstone ileus and intestinal perforation secondary to sigmoid diverticulum. Rev Esp Enferm Dig 2014; 106(6):431-433.
Related articles

Letter

A ghost epigastric pain

DOI: 10.17235/reed.2024.10500/2024

Letter

Pseudo-submucosal tumor in the colon: seeing is believing

DOI: 10.17235/reed.2023.9773/2023

Letter

Schwannoma of the ileocecum accompanied by acute appendicitis

DOI: 10.17235/reed.2022.9053/2022

Letter

Successful gallstone ileus treatment by endoscopy

DOI: 10.17235/reed.2022.8898/2022

Letter

Wernicke encephalopathy following advanced caecum cancer

DOI: 10.17235/reed.2021.8343/2021

Digestive Diseases Image

Waugh’s syndrome: a rare cause of bowel obstruction in adults

DOI: 10.17235/reed.2020.6977/2020

Letter to the Editor

Acute appendicitis after a colonic endoscopic submucosal resection

DOI: 10.17235/reed.2018.5307/2017

Letter to the Editor

Symptomatic retention of the Agile® patency capsule

DOI: 10.17235/reed.2017.4691/2016

Letter to the Editor

Surgical management of appendiceal adenocarcinoid. Case report and literature review

DOI: 10.17235/reed.2016.4049/2015

Digestive Diseases Image

Rigler triad in gallstone ileus

Case Report

Appendicular bleeding: an excepcional cause of lower hemorrhage

DOI: 10.17235/reed.2015.3828/2015

Letter to the Editor

Unusual course of epiploic appendicitis

DOI: 10.17235/reed.2015.3796/2015

Citation tools
Cruz-Santiago J, Briceño-Sáenz G, García-Álvarez J, Beristain-Hernández J. Gallstone ileus presenting as obstructive gangrenous appendicitis. 4361/2016


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 716 visits.
This article has been downloaded 66 times.
Publication history

Received: 04/04/2016

Accepted: 18/04/2016

Published: 31/01/2017

Article revision time: 12 days

Article editing time: 302 days


Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology